Wiki modifier 51 on 2nd proc. when 92950 is first

jbtrueba

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I know that appending modifier 51 to medicare is not needed since they are able to apply it when applicable. However in general coding, would it be appropriate to apply modifier 51 to a second procedure coded along with 92950? For example:
99285-25
92950
36556-51?
A question was raised as to whether or not the modifier would be needed since the first procedure was from the medicine section and not surgery.

Thank you!
 
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